Τόμος 2 (1984) – Τεύχος 1 – Άρθρο 3 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Ελληνική Έκδοση – Volume 2 (1984) – Issue 1 – Article 3 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-Greek Edition

Τίτλος – Title Κλινική φαρμακολογία των Αντιψυχωσικών και Αγχολυτικών φαρμάκων

Clinical Pharmacology of Antipsychotic and Antianxiety Drugs

Συγγραφέας – Author Χαράλαμπος Τρ. Πλέσσας

Charalambos T. Plessas

Παραπομπή – Citation Πλέσσας, X.: Κλινική φαρμακολογία των Αντιψυχωσικών και Αγχολυτικών φαρμάκων, Επιθεώρηση Κλιν. Φαρμακολ. Φαρμακοκινητ. 2(1): 28-41 (1984)

Plessas, C.: Clinical Pharmacology of Antipsychotic and Antianxiety Drugs, Epitheorese Klin. Farmakol. Farmakokinet. 2(1): 28-41 (1984)

Ημερομηνία Δημοσιευσης – Publication Date Απρίλιος 1984 – April 1984
Γλώσσα Πλήρους Κειμένου –
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Ελληνικά – Greek
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Λέξεις κλειδιά – Keywords Ψυχιατρική, φάρμακα, άγχος, σχιζοφρένεια

Psychiatrics, drugs, anxiety, schizophrenia

Λοιποί Όροι – Other Terms Άρθρο
Article
Περίληψη – Summary Antipsychotic drugs ameliorate the course of schizophrenia by blocking dopaminergic receptors in the mesolimbic area and evoke extrapyramidal syndromes and cause unwanted pituitary-endocrine effects by blocking the same receptors in both the globus pallibus and corpus striatum and in the hypothalamus. Phenothiazines, the commonly used antipsychotic drugs, are characterized by a partial absorption in the gastrointestinal tract, an increased distribution in all tissues and organs, a high degree of protein binding and undergo N-demethylation, hydroxylation, sulfoxidation, O-methylation, side chain dealkylation and N-oxydation. Their metabolites have been found in human urine and feces. Haloperidol, the prototype of butyrophenones, is rapidly absorbed with a systemic availability of 60-70%, is about 92% protein bound and has a large distribution volume. The metabolism of haloperidol involves a primary step of N-dealkylation that results in a series of non-active metabolites. Many of the a n t i anxiety drugs, including the benzodiazepines, possess varying degree of the pharmacological actions of sedative-hypnotics and others affect the peripheral autonomic nervous system. Benzodiazepines affect only specific brain sites-spinal centers, the limbic system and the reticular activating system (RAS: is probably not the primary site of action). The muscle relaxant component of their action is at the spinal level. Benzodiazepines are rapidly absorbed after oral administration, but slowly and erratically after i.m. administration. They are found distributed in all body tissues and especially in the adipose tissue and brain and bound highly to plasma proteins. Benzodiazepines form active metabolites, some of which (N-desmethyldiazepam, N-desmethyl-chlordiazepoxide) are more slowly eliminated than the parent drugs. Some members of benzodiazepines (p.ex. clorazepate) are prodrugs of their active metabolites. The metabolites are excreted mainly in urine as glucuronide conjugates.
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